Endoscpy nsl/sns w/cntrl nsl hmrrgh at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,617.70
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$5,617.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$169.75 with Hill Physicians vs $11,428.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $169.75 | ↓ -90% |
| United | Medicaid|> 21 | $199.94 | ↓ -88% |
| United | Medicaid|< 21 | $199.94 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $266.98 | ↓ -83% |
| Molina | Medicaid|All Plans | $327.57 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $346.70 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $474.87 | ↓ -71% |
| Health Net | Medicaid|All Plans | $724.91 | ↓ -55% |
| California Health & Wellness | Medicaid|All Plans | $724.91 | ↓ -55% |
| Partnership Health Plan | Medicaid|All Plans | $1,074.70 | ↓ -34% |
| Western Health Advantage | Commercial|All Plans | $1,965.95 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $2,136.96 | ↑ +32% |
| Humana | Commercial|All Plans | $2,266.13 | ↑ +40% |
| Humana | Medicare|All Plans | $2,266.13 | ↑ +40% |
| Aetna | Medicare|All Plans | $2,266.13 | ↑ +40% |
| Health Net | Medicare|All Plans | $2,266.13 | ↑ +40% |
| Kaiser | Medicare|All Plans | $2,266.13 | ↑ +40% |
| Connected Care | Commercial|Intel | $2,266.13 | ↑ +40% |
| Blue Shield CA | Medicare|All Plans | $2,266.13 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $2,302.97 | ↑ +42% |
| United | Medicare|All Plans | $2,311.46 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $2,334.11 | ↑ +44% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +75% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +119% |
| First Health | Commercial|All Plans | $4,212.75 | ↑ +160% |
| Kaiser | Commercial|All Plans | $4,437.43 | ↑ +174% |
| BCBS - Anthem | Commercial|BRMS | $4,493.60 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $4,493.60 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $4,549.77 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $4,662.11 | ↑ +188% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +192% |
| United | Commercial|HMO | $5,560.83 | ↑ +244% |
| United | Commercial|All Other Plans | $5,617.00 | ↑ +247% |
| United | Commercial|Options PPO | $5,617.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $5,617.00 | ↑ +247% |
| Health Net | Commercial|EPPO | $5,952.00 | ↑ +268% |
| Aetna | Commercial|All Other Plans | $7,809.00 | ↑ +383% |
| Aetna | Commercial|HMO | $7,809.00 | ↑ +383% |
| Aetna | Commercial|PPO | $7,809.00 | ↑ +383% |
| Health Net | Commercial|FFS | $11,428.00 | ↑ +606% |
Visitor-reported prices
Comments
Endoscpy nsl/sns w/cntrl nsl hmrrgh at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,224.51 | $169.75 – $4,493.60 |
| Petaluma Valley Hospital | Petaluma | $3,706.68 | $1,921.00 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $4,653.75 | $2,527.21 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,438.82 | $2,289.25 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $2,755.53 | $2,335.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,445.96 | $5,981.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,516.49 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,574.72 | $1,945.86 – $5,171.00 |